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Individual

DR. BRIAN P LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1616 RANGE CT, DIAMOND BAR, CA 91765-4318
(626) 715-6328
Mailing address
1616 RANGE CT, DIAMOND BAR, CA 91765-4318
(626) 715-6328

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
101822
CA
1223P0221X
Pediatric Dentistry
Primary
101822
CA

Other

Enumeration date
03/20/2017
Last updated
08/21/2019
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